Pedirite Medical Oh LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PEDIRITE MEDICAL OH LLC

Practice address

267 Broadway FL 2
Brooklyn, NY 11211-6216

Phone

(212) 764-0008

NPI assigned

Oct 24, 2022

Last updated

Oct 16, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Solomon Klein

Title

Member

Phone

(212) 734-6621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daravatey Daravuth Pel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Trenton, MI
  • NPI 1225769615

  OH

  Medicare reassignment NPD
• Anas Siddiqi, DPM

  • Podiatrist
  • Perrysburg, OH
  • NPI 1578139481
  Medicare reassignment NPD
• Shayne M Erman, DPM

  • Podiatrist
  • Warren, OH
  • NPI 1740637685
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1902523624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 BROADWAY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116216",
            "telephone_number": "212-764-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 BROADWAY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116216",
            "telephone_number": "212-764-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIRITE MEDICAL OH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-734-6621"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric&Adolescent Medical Care PLLC
• Pediatrics Associates at Lich
• Agnes Lynn Pedicino, RN,IBCLC
• Pedicuria Cosmetic Podiatry Care PLLC
• Pedirite Medical NJ LLC
• Pedirite Medical PA PLLC
• Alberto Jose Pedraza Torres, MD
• Cristian Javier Pedraza, PA-C
• Melissa Pedraza
• Lisette Pedreira, M.S.ED.

• General Practice Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.